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New Jersey rates for HCPCS J2503

Pegaptanib Sodium Injection

Insurance Carrier
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33,886.98 / $33,886.98 / $33,886.98
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,702.00 / $13,785.00 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$755.86 / $755.86 / $755.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$889.25 / $889.25 / $938.16